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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by shar on July 15, 2000, at 19:10:49
I am really interested in trying Adrafinil, but I do not think my all American doc would approve. She might give me an rx for something similar, but I doubt she would like my ordering from overseas. I noticed a drug HYDERGINE was put in the same category as Adrafinil. Has anyone taken that?
Does every one taking Adra. tell their docs? It seems like it would be important info for the doc, but I'd hate it if she said absolutely not. It sounds like a really good med that would address some of the problems I'm having, with very few side effects.
I also wonder about interactions with other meds. I take Effexor and Wellbutrin. Nothing I read contained a big caveat about using it with ADs. Caveats were for diabetics and using a lower dose for hepato.....? compromised people (if I remember correctly).
Thank you for any info you can offer!
Shar
Posted by shellie on July 15, 2000, at 20:00:46
In reply to Adrafinil, Hydergine,Telling my Doc, and Interx. Q, posted by shar on July 15, 2000, at 19:10:49
Hi Shar,
I think it's really important to tell your pdoc what you are taking. My pdoc was not gungho about adrafinil, but never forbid it. Instead we talked about other options, and I agreed to try those first. And then (actually today), she agreed to a adrafinil trial, after I got very depressed with ritalin. I sent away for it but I might try provigal again first, since I did not really have a fair trial of it.
Even when I take vicadin for depression and pms, I tell her I'm doing that. Although she disapproves, she has never threatened me with if you don't stop, I won't be your doctor. Same with my therapist. I do listen to both of their concerns, because I respect both of them alot. My pdoc's main concern about adrafinil was because I am on an MAO inhibitor. I hope I will never be in a position where I feel like I have to lie to either of them, to do what I believe is in my best interest. I would have to leave. Bottom line--it is my depression.
I think you need to go into your session with your pdoc with all the evidence you can gather. I brought in one of JohnL.'s posts and also the english translation that comes with the afrafinil box. Then the two of you should talk about your medication strategy as a collaboration. You also might try talking about provigal also, since that is FDA approved, and tell her some people on this board have been more successful with adrafinil. And let her know that you know you'll need liver tests, just to remind her that you are truely on top of your best interests. And then I would listen to what she has to say--like if there is truely a good reason for her not to support the addition of this medication for you.
Sorry, I'm so long-winded. Good luck. shellie
Posted by AndrewB on July 16, 2000, at 9:14:10
In reply to Adrafinil, Hydergine,Telling my Doc, and Interx. Q, posted by shar on July 15, 2000, at 19:10:49
Shellie,
Anthony has taken adrafinil with an MAOI. You might want to ask him about it.
Shar,
Hydergine does not substitute for adrafinil. Hydergine, in general, is not an arousal agent like adrafinil. Like adrafinil it can improve cognition, but by a very different mechanism. I have tried hydergine and could say a lot more but I guess all that I need to say is that I don't think hydergine is what you are looking for.
I'm taking reboxetine now. It is in some ways similar to adrafinil. I get the reboxetine from overseas. I did not get a prescription from my psych. for it. I just went ahead and got it. I did however tell him that I was taking it so he would know what was going on with me and I could get his feedback.
If I decided to take adrafinil, I would start low and go slow just in case there were any drug interactions, however unlikely.
AndrewB
This is the end of the thread.
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